Too Many CKD Patients Have PICCs

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Contrary to current guidelines, peripherally inserted central catheters (PICCs) are used in a high percentage of hospitalized patients with chronic kidney disease (CKD), reports a study in Annals of Internal Medicine.

The prospective cohort study analyzed the frequency of PICC use and associated characteristics among patients with stage 3b or higher CKD: estimated glomerular filtration rate (eGFR) less than 45 mL/min/1.73 m2. The collaborative quality initiative included data from 52 participating hospitals in the Michigan Hospital Medicine Safety Consortium. Primary analysis included 20,545 (of a total 23,392) PICC placements between 2013 and 2016.

Overall, 23.1% of PICCs